@layout("/backend/common/_container.html"){
<div class="dhcc-form">
    <form method='post' id="cdcDiagnosisInfoForm" name="cdcDiagnosisInfoForm" enctype="multipart/form-data">
	
        <#Hidden id="id" value="${cdcDiagnosis.id}"/>

		<#Input id="episodeId" name="就诊记录" value="${cdcDiagnosis.episodeId}"/>
		<#Input id="busDiagCateId" name="分类" value="${cdcDiagnosis.busDiagCateId}"/>
		<#Input id="busDiagTypeId" name="类型" value="${cdcDiagnosis.busDiagTypeId}"/>
		<#Input id="description" name="描述" value="${cdcDiagnosis.description}"/>
		<#Input id="icd10" name="ICD10" value="${cdcDiagnosis.icd10}"/>
		<#Input id="isMain" name="是否主诊断" value="${cdcDiagnosis.isMain}"/>
		<#Input id="busDiagStatusId" name="状态" value="${cdcDiagnosis.busDiagStatusId}"/>
		<#DateTime id="diagDate" name="诊断日期" value="${cdcDiagnosis.diagDate}"/>
		<#DateTime id="attackDate" name="发病日期" value="${cdcDiagnosis.attackDate}"/>
		<#Input id="busDiagSourceId" name="来源" value="${cdcDiagnosis.busDiagSourceId}"/>
		<#Input id="note" name="备注" value="${cdcDiagnosis.note}"/>
		<#Input id="dataId" name="业务数据类型" value="${cdcDiagnosis.dataId}"/>
		<#Input id="isActive" name="是否有效" value="${cdcDiagnosis.isActive}"/>
        <div class="toolbar">
        	<#Button name="保存" id="ensure" icon="icon-w-save" clickFun="CdcDiagnosisInfoDlg.editSubmit()"/>
        	<#Button btnCss="l-bt-red" name="关闭" id="cancel" icon="icon-w-close" clickFun="CdcDiagnosisInfoDlg.close()"/>
        </div>
    </form>
</div>
<script src="${ctxPath}/static/backend/cdc/cdcdiagnosis/cdcdiagnosis_info.js"></script>
@}
